Exploring the feasibility of a network of organizations for pain rehabilitation: What are the lessons learned?

Background And Aims: Integration of care is lacking for chronic musculoskeletal pain patients. Network Pain Rehabilitation Limburg, a transmural health care network, has been designed to provide integrated rehabilitation care from a biopsychosocial perspective to improve patients' levels of functioning. This feasibility study aims to provide insight into barriers and facilitators for the development, implementation, and transferability.

Rigidity coincides with reduced cognitive control to affective cues in children with autism.

The present study tested whether salient affective cues would negatively influence cognitive control in children with and without autism spectrum disorder (ASD). One hundred children aged 6-12 years who were either typically developing or had ASD performed a novel go/no-go task to cues of their interest versus cues of noninterest. Linear mixed-effects (LME) models for hit rate, false alarms, and the sensitivity index ' were used to test for group differences.

Statistical Learning is Associated with Autism Symptoms and Verbal Abilities in Young Children with Autism.

Statistical learning-extracting regularities in the environment-may underlie complex social behavior. 124 children, 56 with autism and 68 typically developing, ages 2-8 years, completed a novel visual statistical learning task on an iPad. Averaged together, children with autism demonstrated less learning on the task compared to typically developing children.

Normalization in human somatosensory cortex.

Functional magnetic resonance imaging (fMRI) was used to measure activity in human somatosensory cortex and to test for cross-digit suppression. Subjects received stimulation (vibration of varying amplitudes) to the right thumb (target) with or without concurrent stimulation of the right middle finger (mask). Subjects were less sensitive to target stimulation (psychophysical detection thresholds were higher) when target and mask digits were stimulated concurrently compared with when the target was stimulated in isolation.

Prior expectations bias sensory representations in visual cortex.

Perception is strongly influenced by expectations. Accordingly, perception has sometimes been cast as a process of inference, whereby sensory inputs are combined with prior knowledge. However, despite a wealth of behavioral literature supporting an account of perception as probabilistic inference, the neural mechanisms underlying this process remain largely unknown.

Categorical clustering of the neural representation of color.

Cortical activity was measured with functional magnetic resonance imaging (fMRI) while human subjects viewed 12 stimulus colors and performed either a color-naming or diverted attention task. A forward model was used to extract lower dimensional neural color spaces from the high-dimensional fMRI responses. The neural color spaces in two visual areas, human ventral V4 (V4v) and VO1, exhibited clustering (greater similarity between activity patterns evoked by stimulus colors within a perceptual category, compared to between-category colors) for the color-naming task, but not for the diverted attention task.

Cross-orientation suppression in human visual cortex.

Cross-orientation suppression was measured in human primary visual cortex (V1) to test the normalization model. Subjects viewed vertical target gratings (of varying contrasts) with or without a superimposed horizontal mask grating (fixed contrast). We used functional magnetic resonance imaging (fMRI) to measure the activity in each of several hypothetical channels (corresponding to subpopulations of neurons) with different orientation tunings and fit these orientation-selective responses with the normalization model.

Orientation decoding depends on maps, not columns.

The representation of orientation in primary visual cortex (V1) has been examined at a fine spatial scale corresponding to the columnar architecture. We present functional magnetic resonance imaging (fMRI) measurements providing evidence for a topographic map of orientation preference in human V1 at a much coarser scale, in register with the angular-position component of the retinotopic map of V1. This coarse-scale orientation map provides a parsimonious explanation for why multivariate pattern analysis methods succeed in decoding stimulus orientation from fMRI measurements, challenging the widely held assumption that decoding results reflect sampling of spatial irregularities in the fine-scale columnar architecture.

Decoding and reconstructing color from responses in human visual cortex.

How is color represented by spatially distributed patterns of activity in visual cortex? Functional magnetic resonance imaging responses to several stimulus colors were analyzed with multivariate techniques: conventional pattern classification, a forward model of idealized color tuning, and principal component analysis (PCA). Stimulus color was accurately decoded from activity in V1, V2, V3, V4, and VO1 but not LO1, LO2, V3A/B, or MT+. The conventional classifier and forward model yielded similar accuracies, but the forward model (unlike the classifier) also reliably reconstructed novel stimulus colors not used to train (specify parameters of) the model.

Perceptual incongruence influences bistability and cortical activation.

We employed a parametric psychophysical design in combination with functional imaging to examine the influence of metric changes in perceptual incongruence on perceptual alternation rates and cortical responses. Subjects viewed a bistable stimulus defined by incongruent depth cues; bistability resulted from incongruence between binocular disparity and monocular perspective cues that specify different slants (slant rivalry). Psychophysical results revealed that perceptual alternation rates were positively correlated with the degree of perceived incongruence.

Visual cortex allows prediction of perceptual states during ambiguous structure-from-motion.

We investigated the role of retinotopic visual cortex and motion-sensitive areas in representing the content of visual awareness during ambiguous structure-from-motion (SFM), using functional magnetic resonance imaging (fMRI) and multivariate statistics (support vector machines). Our results indicate that prediction of perceptual states can be very accurate for data taken from dorsal visual areas V3A, V4D, V7, and MT+ and for parietal areas responsive to SFM, but to a lesser extent for other visual areas. Generalization of prediction was possible, because prediction accuracy was significantly better than chance for both an unambiguous stimulus and a different experimental design.

Endogenous influences on perceptual bistability depend on exogenous stimulus characteristics.

We investigated the influence of changing physical parameters and task on bistable perception of an ambiguously rotating sphere (SFM). Increasing dot-density and velocity decreased the duration of perceptual phases during both passive viewing and voluntary control exertion. Our main finding is that voluntary control of perception depends on the physical parameters constituting the stimulus.

Activation in visual cortex correlates with the awareness of stereoscopic depth.

Using event-related functional magnetic resonance imaging, we studied the activation correlating with the awareness of stereoscopic depth using a bistable slanted surface (slant rivalry). Bistability resulted from incongruence between two slant-defining cues: binocular disparity and monocular perspective. The stimulus was perceived as alternating between the perspective-dominated percept (monocular depth) and the disparity-dominated percept (stereopsis), while sensory input remained constant, enabling us to study changes in awareness of depth associated with either cue.